All citations for Good Samaritan Society - Superior

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Good Samaritan Society - Superior

Last standard health inspection on record

July 10, 2025

Showing 1 to 17 of 17 citations

  1. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  2. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  3. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  4. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  5. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    A waiver was granted (August 11, 2023).

  6. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  7. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  8. No harm, with potential for more than minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  9. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  10. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  11. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  12. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  13. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  14. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  15. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  16. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

  17. No harm, with potential for more than minimal harm

    Meet requirements for the use and maintenance of medical gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0922, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 11, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.